Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CAROLINA COUNSELING PROFESSIONALS, LLC

NPI: 1548683303 · SENECA, SC 29678 · Community/Behavioral Health Agency · NPI assigned 01/30/2014

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

97% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

$1.26M
Total Medicaid Paid
12,593
Total Claims
5,596
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHERBERT, PAULETTE (OWNER/THERAPIST)
NPI Enumeration Date01/30/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,661 $178K
2019 2,235 $217K
2020 2,584 $248K
2021 1,675 $163K
2022 1,537 $158K
2023 1,902 $192K
2024 999 $105K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 12,355 5,358 $1.23M
90791 Psychiatric diagnostic evaluation 238 238 $32K